CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Rush Memorial Hospital

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $80
Cash Discount Price: $89
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Rush Memorial Hospital is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$80

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Health Net	$28 - $42	N/A
UnitedHealthcare	$30 - $115	N/A
Aetna	$30 - $132	N/A
Caresource McR Adv	$30 - $45	N/A
Humana	$30 - $132	N/A
My True Advantage - All Plans	$30 - $45	N/A
Today's Option McR Adv-All Plans	$31 - $46	N/A
Viant Beech St McR Adv	$31 - $46	N/A
Blue Cross Blue Shield	$31 - $105	N/A
Caresource Marketplace-All Other Plans	$48 - $71	N/A
Cigna	$77 - $115	N/A
Phcs-All Plans	$77 - $115	N/A
Consumers Life Ins-All Plans	$86 - $130	N/A
Coventry/First Health-All Plans	$86 - $130	N/A
Sagamore-All Plans	$88 - $132	N/A
Siho-All Plans	$88 - $132	N/A
Multiplan-All Plans	$89 - $134	N/A
Community Health Alliance-All Plans	$90 - $135	N/A
Encore Health Services-All Plans	$94 - $141	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $89.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Rush Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.